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The TESO Diabetes Caravan

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  • Chris Aru

  • 20 hours ago
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PROJECT PROPOSAL

Campaign Title: The Teso Diabetes Caravan: Bringing Life-Saving Care to 8,000 Rural Patients.
Organization: Aru Consult Impact Hub Limited (ACIM HUB)
Headquarters: Soroti City, Teso Region, Uganda
Funding Platform: Nyamba Uganda

Email: chris.aru@acimhub.org 
Target Districts: Soroti, Kumi, Ngora, Serere, Katakwi, Amuria, Kaberamaido, Bukedea
Total Funding Goal: $44,000 USD
Project Duration: 8 Months

1. Executive Summary & The Ask

Diabetes is rapidly becoming a public health emergency in the Teso sub-region of Eastern Uganda. Unlike HIV or malaria—which have robust awareness campaigns—Type 2 Diabetes remains largely undiagnosed in Teso's rural villages. Patients often present at Soroti Regional Referral Hospital only after developing blindness, kidney failure, or non-healing foot ulcers requiring amputation.

The situation is dire: A 2023 district health assessment revealed that over 60% of diabetic patients in Teso are diagnosed at severe complication stages. The main barriers are:

  • Distance: Most sub-counties have no functional glucometers.
  • Cost: A single blood sugar test at a private clinic costs 5,000 UGX ($1.35)—a full day's wage for a subsistence farmer.
  • Ignorance: Many rural Iteso believe swollen feet and constant thirst are caused by curses or "old age," not a manageable metabolic disease.

The Ask: We are raising $44,000 to launch the "Teso Diabetes Caravan" —an 8-month mobile clinic and community health worker training program. This initiative will take diabetes diagnosis, treatment, and education directly to the poorest villages across 8 districts.

2. The Problem Deep Dive (Teso Context)

Why Teso Region specifically?

Challenge

Teso Reality

Impact

Healthcare Access

Only 1 diabetes-trained nurse per 150,000 people in rural sub-counties.

Patients travel 40-70 km to Soroti City for simple checkups.

Poverty Rate

Teso has a poverty rate of 41% (higher than national average of 30%).

Families cannot afford regular monitoring or transport.

Cultural Beliefs

"Edeke" (witchcraft) is often blamed for diabetic symptoms.

Patients seek traditional healers first, delaying treatment by months.

Food Insecurity

High reliance on cassava, millet, and sweet potatoes (high glycemic index foods).

Poor nutrition accelerates diabetic complications.

The Human Cost: Without intervention, a rural diabetic in Teso faces a 50% chance of developing a severe complication within 3 years of diagnosis. Amputation costs more than most families earn in a year.

 

3. The Solution: ACIM HUB's Teso Diabetes Caravan

Over 8 months, ACIM HUB will deploy a mobile diabetes unit and train a network of Village Health Teams (VHTs) to create a sustainable, community-led care model.

Three Core Components:

Component 1: Mobile Screening Caravan (Months 1–8)

  • A branded 4x4 vehicle converted into a mobile clinic visits 2 villages per week (64 villages total).
  • Services: Free blood glucose testing, blood pressure screening, foot examination, and basic eye checks for diabetic retinopathy.
  • Referrals: Severe cases are registered at Soroti Regional Referral Hospital's diabetes clinic via a dedicated hotline.

Component 2: VHT Training & Supervision (Months 1–3)

  • 50 Village Health Team members from 8 districts undergo a 5-day certification course.
  • Curriculum: Recognizing diabetes symptoms, using glucometers, foot care, dietary counseling (low-glycemic local foods), and medication adherence.
  • Each VHT receives a starter kit: glucometer, 50 test strips, logbook, and educational flip charts.

Component 3: Continuous Care & Supply Chain (Months 4–8)

  • Enrolled patients receive a "Diabetes Passport" (a simple laminated card tracking their glucose history).
  • Monthly medicine distribution points established at existing government health centers.
  • ACIM HUB provides the first 3 months of Metformin free; patients are transitioned to government supply thereafter.

 

4. Itemized Budget ($44,000 for 8 Months)

Category

Item Description

Cost (USD)

% of Total

1. Mobile Clinic Vehicle

Purchase of a reliable used 4x4 minibus/van (Toyota Hiace or similar). Includes branding, roof rack, and basic medical cabinetry installation.

$14,000

31.8%

2. Medical Equipment & Supplies

50x Digital Glucometers, 2,000x Test Strips, 500x Lancets, 20x BP Machines, 10x Weighing Scales, 50x Foot Exam Kits, 20x Vision Charts.

$7,000

15.9%

3. Pharmacy (8 Months)

Metformin (500mg & 850mg), Glibenclamide, emergency glucose gels, and hypertension drugs (Amlodipine, Enalapril) for 600 patients.

$6,500

14.8%

4. VHT Training Program

5-day residential training for 50 VHTs: venue, meals, facilitator stipends, training manuals, certification, and transportation refunds.

$5,000

11.4%

5. Operations (8 Months)

Fuel for mobile clinic (@ 200/week),driversalary(@200/week),driversalary(@150/month), 2 nurses (@ $200/month each), mobile data for tele-referrals, community radio spots (4x districts).

$7,500

17.0%

6. Monitoring & Evaluation

Pre/post patient surveys, data entry clerk (part-time), photography/videography for donor reporting, and end-of-project impact report.

$2,000

4.5%

7. Nyamba UG & Admin Fees

Platform transaction fees (estimated 5%), bank charges, and contingency for currency fluctuation.

$2,000

4.5%

TOTAL

Teso Diabetes Response Package (8 Months)

$44,000

100%

 5. Project Targets & Key Performance Indicators (KPIs)

Metric

Target (8 Months)

Measurement Method

Villages reached

64 villages across 8 districts

GPS tracking & village visit logs

Individuals screened

8,000+ adults (≥30 years old)

Daily screening registry

Newly diagnosed diabetics enrolled

600 patients

Patient "Diabetes Passport" issuance

VHTs trained & equipped

50 community health workers

Training certificates & kit distribution list

Referrals to Soroti Hospital

200 complex cases

Hospital referral log & feedback forms

Reduction in average blood glucose among enrolled

20% decrease (from >200 mg/dL to <160 mg/dL)

3-month follow-up testing

Community awareness reach

200,000 people via radio

Radio station coverage reports

6. Why ACIM HUB? (Credibility & Local Presence)

Headquartered in Soroti City: ACIM HUB is deeply embedded in the Teso community. Our team speaks Ateso, understands local customs, and maintains active relationships with:

  • Soroti Regional Referral Hospital (Diabetes Clinic)
  • Teso Health Zone (District Health Officers network)
  • Soroti University (Department of Public Health)
  • Teso Women Development Initiative (community mobilization)

Past Success: ACIM HUB has previously implemented community health projects reaching over 15,000 people in Teso, including malaria prevention, maternal health education, and COVID-19 awareness campaigns.

Sustainability Plan: After 8 months, ACIM HUB will:

  1. Hand over 50 trained VHTs to the Ministry of Health's existing supervision structure.
  2. Donate the mobile clinic vehicle to the Soroti District Health Office for continued diabetes outreach.
  3. Transition enrolled patients to government health center pharmacies for routine medication refills.

 7. Nyamba UG Campaign Strategy

To maximize donations, ACIM HUB will implement these proven crowdfunding tactics:

Storytelling Focus:

  • Hero Story: Feature Mama Grace, a 62-year-old widow in Katakwi who lost her eyesight to undiagnosed diabetes. Her story will anchor the campaign video.
  • Local Imagery: High-quality photos/videos of Teso landscapes, market days, and health center queues.

Donation Tiers (Suggested for Nyamba UG):

Amount

Impact

Reward

$10

Buys 50 test strips

Digital thank-you card

$25

Trains 1 VHT for 1 day

Name on "Honor Roll" webpage

$50

Screens 100 villagers

Progress photo from a screening camp

$100

Covers 1 week of fuel for the Caravan

Video shout-out from our team

$500

Provides 8 months of meds for 20 patients

Named sponsorship of a village screening day

$2,500

Sponsors 1 full month of operations

Logo on the mobile clinic vehicle

$5,000

Funds the entire VHT training module

Report with patient outcome data & plaque

Campaign Timeline (8 Months: June 2026 – January 2027):

Month

Activity

FundRazr Update Focus

Month 1

Launch Nyamba campaign

Go-live video from Soroti

Month 2

Purchase & outfit vehicle

"Meet the Caravan" tour

Month 3

Train 50 VHTs

Photos of certification ceremony

Months 4–7

Mobile clinic operations (16 villages/month)

Weekly patient success stories

Month 8

Final M&E & handover

End-of-project impact video

 8. Call to Action

The Teso region cannot wait. Every month of delay means more preventable amputations, more families bankrupted by hospital fees, and more children losing parents to a disease that costs less than $1 per month to manage.

With $44,000, ACIM HUB will:

  • Screen 8,000 rural villagers.
  • Enroll 600 diabetics into care.
  • Train 50 permanent community health workers.
  • Prevent an estimated 100+ amputations over the next 3 years.

Donate today on Nyamba. Share this campaign with your network. Follow our 8-month journey as we prove that distance and poverty do not have to be death sentences for diabetic patients in Teso.

Together, we bring the clinic to their doorstep.

 For more information:
Aru Consult Impact Hub Limited (ACIM HUB)
Soroti City, Teso Region, Uganda
Email: chris.aru@acimhub.org 
Campaign Link:

Read More

General Question

The TESO Diabetes Caravan
Diabetes is rapidly becoming a public health emergency in the Teso sub-region of Eastern Uganda. Unlike HIV or malaria—which have robust awareness campaigns—Type 2 Diabetes remains largely undiagnosed in Teso's rural villages. Patients often present at Soroti Regional Referral Hospital only after developing blindness, kidney failure, or non-healing foot ulcers requiring amputation.

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